Billing

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Medicare secondary payer (MSP): Medicare as the tertiary payer

Read this article for billing guidelines when Medicare is the tertiary payer.

Medicare secondary payer (MSP): Medicare as the tertiary payer

Read this article for information on how to submit your Part B claim when more than one insurance is primary to Medicare.

Quick reference chart for Medicare Secondary Payer (MSP) claims

Review this chart for information on submitting accurate MSP claims.

Immunization

Find information on seasonal influenza & COVID-19 vaccine pricing for 2026–2027 season

Immunization

Find information on seasonal influenza & COVID-19 vaccine pricing for 2026–2027 season

2026 - 2027 influenza, pneumococcal, and hepatitis B vaccine reimbursement

Review this article for the payment allowances and effective dates for the 2026-2027 flu season.

Immunization roster billing

Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…

Immunization roster billing

Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified…

E/M: Reviewing amount and/or complexity of data

For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test,…

E/M: Reviewing amount and/or complexity of data

For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test,…